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1174394076
TATUM MICHELLE CLARK
COLUMBUS, GA
NPI
1174394076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
TATUM MICHELLE CLARK RBT
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 706-780-1704
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Mailing Address
TATUM MICHELLE CLARK RBT
745 TAMAHA TRCE NE UNIT 33C
TUSCALOOSA, AL 35404-2556
Phone number: 970-775-4035
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